A system and a method are disclosed for forming an anastomosis between a first layer of tissue and a second layer of tissue of a patient's body. The system includes a first anastomosis device component and a second anastomosis device component configured to interact with the first anastomosis device component. The first anastomosis device component is configured to be delivered to a first lumen inside the patient's body. The second anastomosis device component is configured to be delivered to a second lumen inside the patient's body. The second anastomosis device includes one or more sensors configured to capture sensor data for determining an alignment of the second anastomosis device component relative to the first anastomosis device component, or for characterizing the position or orientation of the second anastomosis device component in three-dimensional space.

The present invention relates to an apparatus for tracking a position of an interventional device respective an image plane of an ultrasound field. The position includes an out-of-plane distance (Dop). A geometry-providing unit (GPU) includes a plurality of transducer-to-distal-end lengths (Ltde.sub.1 . . . n), each length corresponding to a predetermined distance (Ltde) between a distal end of an interventional device and an ultrasound detector attached to the interventional device, for each of a plurality of interventional device types (T.sub.1 . . . n). An image fusion unit (IFU) receives data indicative of the type (T) of the interventional device being tracked; and based on the type (T): selects from the geometry-providing unit (GPU), a corresponding transducer-to-distal-end length (Ltde); and indicates in a reconstructed ultrasound image (RUI) both the out-of-plane distance (Dop) and the transducer-to-distal-end length (Ltde) for the interventional device within the ultrasound field.

An exemplary system includes a memory storing instructions and a processor communicatively coupled to the memory. The processor may be configured to execute the instructions to obtain one or more operating characteristics of an instrument located in a surgical space; obtain one or more anatomical characteristics associated with the surgical space; and direct a computer-assisted surgical system to automatically perform, based on the based on the one or more operating characteristics of the device and the one or more anatomical characteristics associated with the surgical space, an operation with the instrument located in the surgical space.

A medical device having a force transmission mechanism that includes a chassis having a pivotal support that defines a first axis. An axle is supported by the pivotal support and is free to rotate around the first axis of rotation. The axle defines a second axis of rotation perpendicular to the first axis of rotation. A first control arm is coupled to a first end of the axle and is free to rotate around the second axis of rotation. A second control arm is coupled to an opposite second end of the axle and is free to rotate around the second axis of rotation independently of the first control arm. A distal component is coupled to an elongate tube that is coupled to the chassis. Four drive elements coupled to the control arms control motion of the distal component. In one implementation, the medical device is a teleoperated surgical instrument.

An implant comprises a wall that surrounds a lumen. A delivery tool comprises a catheter, a control assembly, and an ultrasound tool. The catheter is transluminally advanceable into a subject, and has a distal opening. The implant can be delivered via the catheter. The control assembly can advance at least a portion of the wall out of the distal opening, and can steer the catheter to place the portion against a site of a tissue of the subject, the site disposed distally from the portion and opposite the distal opening. The ultrasound tool can (i) position an ultrasound transceiver within the lumen and facing the portion, and (ii) facilitate imaging of the site by transmitting ultrasound energy through the portion. An anchor driver can anchor the implant to the tissue by driving an anchor through the portion and into the site. Other embodiments are also described.

Systems and methods for detecting motion of soft tissue are provided. An illustrative method is described to include attaching a flexible material to an object, where the flexible material includes one or more tracking markers distributed thereon and where the object includes soft tissue. The method is also disclosed to include obtaining a first image of the object that includes the one or more tracking markers in a first position, obtaining a second image of the object that includes the one or more tracking markers in a second position, and determining a motion of the soft tissue based on a comparison of the one or more tracking markers in the first position with the one or more tracking markers in the second position.

A computer-assisted medical device is configured and used to endoluminally navigate to a location in the gastrointestinal system and there treat certain body lumen wall areas while avoiding other body lumen wall areas. Embodiments ablate the inner mucosal layer and sub-mucosal nerve plexus of the stomach, duodenum and jejunum to effect treatment of insulin resistance and metabolic disorders, such as Type II diabetes (T2D), polycystic ovarian syndrome (PCOS), non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), congestive heart failure (CHF) and obstructive sleep apnea (OSA). Various sensors are used to assist a clinical operator to navigate from the mouth through the pyloric sphincter and into and through the duodenum and/or jejunum. Various sensors are used to map and identify portions of the duodenum and/or jejunum. Various lumen wall ablation devices and methods are described. Various post-treatment assessments are described.

Systems and methods for automatically navigating a catheter in a patient are provided. An image of a current view of a catheter in a patient is received. A set of actions of a robotic navigation system for navigating the catheter from the current view towards a target view is determined using a machine learning based network. The catheter is automatically navigated in the patient from the current view towards the target view using the robotic navigation system based on the set of actions.

Systems and methods are described herein for tracking an elongate instrument or other medical instrument in an image.

A system and a method are disclosed for forming an anastomosis between a first layer of tissue and a second layer of tissue of a patient's body. The system includes a first anastomosis device component and a second anastomosis device component configured to interact with the first anastomosis device component. The first anastomosis device component is configured to be delivered to a first lumen inside the patient's body. The second anastomosis device component is configured to be delivered to a second lumen inside the patient's body. The second anastomosis device includes one or more sensors configured to capture sensor data for determining an alignment of the second anastomosis device component relative to the first anastomosis device component, or for characterizing the position or orientation of the second anastomosis device component in three-dimensional space.